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Effect of sarcopenia on hospital stay from post cardiac surgery to discharge

BACKGROUND: Cardiovascular surgery in older patients with sarcopenia has high rates of major complications, long hospital stays, readmissions, and discharge transfers. However, the factors that influence the length of hospital stay are unknown. This study aimed was to identify the predictors of the...

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Autores principales: Shibasaki, Ikuko, Ouchi, Motoshi, Fukuda, Taira, Tsuchiya, Go, Ogawa, Hironaga, Takei, Yusuke, Tezuka, Masahiro, Kanazawa, Yuta, Katayanagi, Satoshi, Nozawa, Naohiro, Mizushima, Takashi, Toyoda, Shigeru, Fukuda, Hirotsugu, Nakajima, Toshiaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933819/
https://www.ncbi.nlm.nih.gov/pubmed/35313647
http://dx.doi.org/10.1016/j.ijcha.2022.101003
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author Shibasaki, Ikuko
Ouchi, Motoshi
Fukuda, Taira
Tsuchiya, Go
Ogawa, Hironaga
Takei, Yusuke
Tezuka, Masahiro
Kanazawa, Yuta
Katayanagi, Satoshi
Nozawa, Naohiro
Mizushima, Takashi
Toyoda, Shigeru
Fukuda, Hirotsugu
Nakajima, Toshiaki
author_facet Shibasaki, Ikuko
Ouchi, Motoshi
Fukuda, Taira
Tsuchiya, Go
Ogawa, Hironaga
Takei, Yusuke
Tezuka, Masahiro
Kanazawa, Yuta
Katayanagi, Satoshi
Nozawa, Naohiro
Mizushima, Takashi
Toyoda, Shigeru
Fukuda, Hirotsugu
Nakajima, Toshiaki
author_sort Shibasaki, Ikuko
collection PubMed
description BACKGROUND: Cardiovascular surgery in older patients with sarcopenia has high rates of major complications, long hospital stays, readmissions, and discharge transfers. However, the factors that influence the length of hospital stay are unknown. This study aimed was to identify the predictors of the prolonged hospital stay in patients with sarcopenia after cardiovascular surgery. METHODS: A total of 192 patients scheduled for cardiac surgery were enrolled in this retrospective observational study. Sarcopenia was diagnosed preoperatively. Clinical data from the preoperative, intraoperative, and perioperative periods were evaluated to determine the factors influencing the length of hospital stay. RESULTS: The sarcopenia and non-sarcopenia groups differed significantly in age; body mass index; renal function; intubation time; transfusion of red blood cells; hospital transfer; and hemoglobin, brain natriuretic peptide, and albumin levels. Sarcopenia was the most significant factor influencing prolonged postoperative hospital stay, as well as prolonged intubation time. In the sarcopenia group, albumin levels and cardiopulmonary bypass time were the significant factors affecting hospital stay. CONCLUSIONS: Sarcopenia was the most significant factor associated with prolonged postoperative hospital stay in patients who underwent cardiac surgery. In addition, improving sarcopenia, nutritional status, and shortening cardiopulmonary bypass time appear to shorten the hospital stay in patients with sarcopenia who underwent cardiovascular surgery.
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spelling pubmed-89338192022-03-20 Effect of sarcopenia on hospital stay from post cardiac surgery to discharge Shibasaki, Ikuko Ouchi, Motoshi Fukuda, Taira Tsuchiya, Go Ogawa, Hironaga Takei, Yusuke Tezuka, Masahiro Kanazawa, Yuta Katayanagi, Satoshi Nozawa, Naohiro Mizushima, Takashi Toyoda, Shigeru Fukuda, Hirotsugu Nakajima, Toshiaki Int J Cardiol Heart Vasc Original Paper BACKGROUND: Cardiovascular surgery in older patients with sarcopenia has high rates of major complications, long hospital stays, readmissions, and discharge transfers. However, the factors that influence the length of hospital stay are unknown. This study aimed was to identify the predictors of the prolonged hospital stay in patients with sarcopenia after cardiovascular surgery. METHODS: A total of 192 patients scheduled for cardiac surgery were enrolled in this retrospective observational study. Sarcopenia was diagnosed preoperatively. Clinical data from the preoperative, intraoperative, and perioperative periods were evaluated to determine the factors influencing the length of hospital stay. RESULTS: The sarcopenia and non-sarcopenia groups differed significantly in age; body mass index; renal function; intubation time; transfusion of red blood cells; hospital transfer; and hemoglobin, brain natriuretic peptide, and albumin levels. Sarcopenia was the most significant factor influencing prolonged postoperative hospital stay, as well as prolonged intubation time. In the sarcopenia group, albumin levels and cardiopulmonary bypass time were the significant factors affecting hospital stay. CONCLUSIONS: Sarcopenia was the most significant factor associated with prolonged postoperative hospital stay in patients who underwent cardiac surgery. In addition, improving sarcopenia, nutritional status, and shortening cardiopulmonary bypass time appear to shorten the hospital stay in patients with sarcopenia who underwent cardiovascular surgery. Elsevier 2022-03-18 /pmc/articles/PMC8933819/ /pubmed/35313647 http://dx.doi.org/10.1016/j.ijcha.2022.101003 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Original Paper
Shibasaki, Ikuko
Ouchi, Motoshi
Fukuda, Taira
Tsuchiya, Go
Ogawa, Hironaga
Takei, Yusuke
Tezuka, Masahiro
Kanazawa, Yuta
Katayanagi, Satoshi
Nozawa, Naohiro
Mizushima, Takashi
Toyoda, Shigeru
Fukuda, Hirotsugu
Nakajima, Toshiaki
Effect of sarcopenia on hospital stay from post cardiac surgery to discharge
title Effect of sarcopenia on hospital stay from post cardiac surgery to discharge
title_full Effect of sarcopenia on hospital stay from post cardiac surgery to discharge
title_fullStr Effect of sarcopenia on hospital stay from post cardiac surgery to discharge
title_full_unstemmed Effect of sarcopenia on hospital stay from post cardiac surgery to discharge
title_short Effect of sarcopenia on hospital stay from post cardiac surgery to discharge
title_sort effect of sarcopenia on hospital stay from post cardiac surgery to discharge
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8933819/
https://www.ncbi.nlm.nih.gov/pubmed/35313647
http://dx.doi.org/10.1016/j.ijcha.2022.101003
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